Client Information Form
Client Information Form
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To personalize your experience please take the time to complete this form. Feel free to call me if you have questions: 781.519.2285. Thank you and I look forward to creating a memorable session for you and your family.
Contact Name
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First
Last
Mailing Address
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Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Afghanistan
Albania
Algeria
Andorra
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
Country
Mobile
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Home Phone
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Alternate Phone
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Email
*
Are you a
*
returning client
new client
What kind of session do you want?
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Maternity
Newborn
Just the Kids
Family
Couple
Senior
Other (see below)
Other session type
If you're expecting, provide EDD:
Session Participants
*
Self
Spouse/Partner
Newborn
Child/Children
Other (list name below)
Spouse/Partner (if participating)
Child 1
First
Last
Child 1: Gender, age at the time of the session, other details
Child 2
First
Last
Child 2: Gender, age at the time of the session, other details
Child 3
First
Last
Child 3: Gender, age at the time of the session, other details
Child 4
First
Last
Child 4: Gender, age at the time of the session, other details
Please describe your vision for the session (if you are doing multiple sessions, feel free to talk about each of them i.e. Maternity & Newborn)
*
Do you have any specific thoughts/ideas on your session location?
Any other expectations for your session? Specific groupings/pose requests? Things you LOVE, things I should know.....
SESSION AGREEMENT: Please read all information carefully in the Session Agreement document and print a copy for your records. Once you've read the Session Agreement, please provide your digital signature below:
I, the undersigned, have read, understood, and agreed to the policies, terms, and conditions in the SESSION AGREEMENT.
*
AGREE
Digital Signature
*
First
Last
Today's Date:
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/
MM
/
DD
YYYY
MODEL RELEASE (OPTIONAL): In order for me to be able to post your sneak peeks on the blog or images on the website, you'll need to sign this optional Model Release:
"The photographs taken and presented by this photographer may be used by Jennifer Shore Photography for the purpose of display, portfolio, advertising, website ro publication to promote the business without compensation to the undersigned. You may request that specific images not be made public if they are of a personal nature by submitting a written notification to Jennifer Shore Photography.
I do not identify subjects by name on my websites or printed materials.
Please indicate below if you accept the MODEL RELEASE
*
Accept (full)
Accept w/ exceptions (below)
Decline
Please outline any exceptions to the model release:
Digital Signature
*
First
Last
Today's Date
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MM
/
DD
YYYY
OTHER
How did you hear about Jennifer Shore Photography?
*
Internet
Friend/Relative (please list below)
Other (please list below)
How are you planning to use these images? (Album? Cards? Just one to hang abouve the mantle, etc)
*
Optional: I love keeping up with everyone online! Do you blog, Twitter or Facebook?
Your Facebook Profile
Your Twitter Profile
Your blog
All images and content copyright Jennifer Shore Photography